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2. 
4. First Name*
5. Last Name*
7. Name of Municipality, Business, Organization, etc.*

   Please indicate if you are affiliated with a municipality, business, or organization. If you are an interested member from the public, enter "Citizen."

9. Your Official Title/Municipal Role *

   (If you are affiliated with a municipality, please indicate if you are a municipal staff member, planning commission/board member, municipal supervisor/councilperson, etc.)

11. Email*

    Very important for informing you of event change or cancellation.

13. Daytime Telephone

    Please supply a daytime phone number if you do not have an email address.

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15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit Submit and Print

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